NPI 1003096801

Children's Medical Group, LTD

Organisation Pediatrics Physician Glendale, AZ

Practice location

Address: 5757 W Thunderbird Rd E 255, Glendale, AZ 85306-4641
Phone: (602) 843-4149
Fax: (602) 843-3224

Authorised official

Name: Agnes T Lardizabal
Title: Physician/President
Phone: (602) 843-4149

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Arizona →

Registry record

NPI: 1003096801
Entity type: Organization
NPI issued: 8 Nov 2007
Record last updated: 8 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.